Mamerto, Blesilda A

Mamerto, Blesilda A is an individual health care provider with primary practice located at 800 West Maple Street , Medical Lake WA 99022-0800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mamerto, Blesilda A can be contacted via phone (509) 299-3121.

Contact Information

Primary practice address
800 West Maple Street Medical Lake WA 99022-0800
Fax: (509) 299-7015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00022291 Washington

Profile Details

NPI number 1801878756
LBN Legal business name Mamerto, Blesilda A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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